JP6828888B2 - Transfer support system - Google Patents

Description

The present invention relates to a transfer support system, and more particularly to a transfer support system that can reduce the trouble of searching for a transfer destination medical institution for a patient who wishes to transfer.

When there is a patient who wants to be transferred to another medical institution, it is necessary to go to each medical institution in order to find an acceptable medical institution, which causes a problem that it takes a lot of time and effort.

The present invention has been made in view of the above circumstances, and an object of the present invention is to provide a transfer support system capable of reducing the trouble of searching for a medical institution to transfer to.

The above object is achieved by the following means.

The transfer support system is for one or more transfer source medical institution information terminals used in each of one or more transfer source medical institutions, and for a plurality of transfer destination candidate medical institutions used in each of a plurality of transfer destination candidate medical institutions. Information terminal, one or more electronic medical record devices used in each of one or more transfer source medical institutions, information terminal for each transfer source medical institution, information terminal for transfer destination candidate medical institution, and each electronic medical record device and network. Includes transfer support devices connected via. Each electronic medical record device provides patient information including at least one of name, date of birth, gender, symptom, clinical department, family doctor, and family medical institution associated with in-facility patient identification information for each of a plurality of patients. It is configured to be able to store and read and transmit patient information from the storage means in response to a read request from the outside. The information terminal for the transfer source medical institution is an operation for requesting a new registration screen of the patient who wishes to transfer, including input of patient identification information in the facility of the patient who wishes to transfer, and an operation for viewing the acceptance response information registered in the information terminal for the candidate medical institution for transfer. Operation means for performing various operations including, display means for displaying a new registration screen of a patient wishing to be transferred, and display means for displaying various displays including display of acceptance response information, and new registration including input of in-facility patient identification information for a patient wishing to be transferred. Follow the screen request operation New registration for the transfer support device Follow the screen request, name, gender, age, symptom, medical department, family doctor, and registration operation of patient information requesting transfer including at least the symptom and desired transfer date. A processing means for displaying the registration request for the transfer support device, the request for viewing the acceptance response information for the transfer support device according to the operation for viewing the acceptance response information of the candidate medical institution to be transferred, and the display means for displaying the returned acceptance response information. including. The information terminal for a transfer destination candidate medical institution includes an operation means for performing various operations including a browsing operation of information on a patient wishing to be transferred and an operation for registering acceptance response information, and a display means for performing various displays including display of information on a patient wishing to be transferred. Processing means for displaying the browsing request for the transfer support device according to the browsing operation of the patient wishing to be transferred, displaying the returned patient information requesting transfer to the display means, and requesting the registration of the acceptance response information for the transfer support device according to the registration operation of the acceptance response information. And, including. When the transfer support device receives a new registration screen request including in-facility patient identification information from the information terminal for the transfer source medical institution and the storage means for accumulating the transfer request patient information and the acceptance response information for each transfer request patient. , Obtain the corresponding patient information from the electronic chart device attached to the same transfer source medical institution, return the new registration screen with the obtained patient information already entered, and receive the registration request from the transfer source medical institution terminal. The desired patient information is stored in the storage means, the acceptance response information received from the information terminal for the transfer source medical institution is read from the storage means and returned to the requester, and the view request is received from the transfer destination candidate medical institution information terminal. It includes a processing means for reading the patient information desired to be transferred from the storage means, returning the information to the requesting source, and storing the acceptance response information received from the information terminal for the candidate medical institution for the transfer destination in the storage means.

The transfer support system is for one or more transfer source medical institution information terminals used in each of one or more transfer source medical institutions, and for a plurality of transfer destination candidate medical institutions used in each of a plurality of transfer destination candidate medical institutions. Information terminal, one or more electronic medical record devices used in each of one or more transfer source medical institutions, information terminal for each transfer source medical institution, information terminal for transfer destination candidate medical institution, and each electronic medical record device and network. Includes transfer support devices connected via. Each electronic medical record device provides patient information including at least one of name, date of birth, gender, symptom, clinical department, family doctor, and family medical institution associated with in-facility patient identification information for each of a plurality of patients. It is configured to be able to store and read and transmit patient information from the storage means in response to a read request from the outside. The information terminal for the transfer source medical institution is an operation for requesting a new registration screen for a patient who wishes to transfer, including input of patient identification information in the facility for the patient who wishes to transfer, and an operation for browsing the acceptance response information registered in the information terminal for the candidate medical institution for transfer. And the operation means for performing various operations including the registration operation of the acceptance destination determination information including the transfer destination and the transfer date, and the display means for displaying the new registration screen of the patient wishing to transfer and the display of the acceptance response information. , New registration screen request including input of patient identification information in the facility of the patient who wants to be transferred New registration screen request for the transfer support device according to the operation, name, gender, age, symptom, medical department, family doctor, and at least the symptom of the desired transfer date Request for registration of transfer support device according to the registration operation of patient information requesting transfer including the desired date of transfer, acceptance request for transfer support device according to the operation of viewing response information of candidate medical institutions to be transferred, and acceptance of reply information It includes a display of the answer information on the display means, and a processing means for making a registration request to the transfer support device according to the registration operation of the acceptance destination determination information. The information terminal for a transfer destination candidate medical institution includes an operation means for performing various operations including a browsing operation of information on a patient wishing to be transferred and an operation for registering acceptance response information, and a display means for performing various displays including display of information on a patient wishing to be transferred. Display of the transfer request patient information with the transfer request and the returned acceptance decision information according to the transfer operation of the patient who wishes to be transferred, and the registration of the acceptance response information for the transfer support device according to the registration operation of the acceptance response information. Includes processing means for making the request. The transfer support device is a new storage means that stores information on patients wishing to be transferred, acceptance response information, and information on determining recipients in association with each patient wishing to transfer, and new in-facility patient identification information from the information terminal for the transfer source medical institution. When the registration screen request is received, the corresponding patient information is obtained from the electronic chart device attached to the same transfer source medical institution, a new registration screen with the obtained patient information already entered is returned, and the transfer source medical institution terminal Information on patients wishing to be transferred to another hospital who received a registration request and information on determining where to accept the patient are stored in the storage means, and the acceptance response information received from the information terminal for the medical institution at the transfer source is read from the storage means and returned to the requester for transfer. Accepts information on patients wishing to be transferred to another hospital who have received a viewing request from the information terminal for the candidate medical institution, reads it from the storage means, and replies to the requester, and receives the acceptance response information received from the information terminal for the candidate medical institution to which the patient is transferred Includes processing means to be stored in the storage means.

The transfer support system is for one or more transfer source medical institution information terminals used in each of one or more transfer source medical institutions, and for a plurality of transfer destination candidate medical institutions used in each of a plurality of transfer destination candidate medical institutions. It includes an information terminal, an information terminal for each transfer source medical institution, an information terminal for a transfer destination candidate medical institution, and a transfer support device connected to each electronic medical record device via a network. The information terminal for the transfer source medical institution can be used to register information on patients who wish to be transferred, including name, gender, age, symptoms, medical department, family doctor, and at least the symptoms and desired date of transfer, and candidates for transfer. An operation means for performing various operations including a viewing operation of the acceptance answer information registered on the information terminal for medical institutions, a display means for displaying a new registration screen of a patient wishing to be transferred, and a display means for performing various displays including the display of acceptance answer information. , Request for registration of the transfer support device according to the registration operation of the patient information desired to be transferred, and request for viewing the acceptance response information for the transfer support device according to the operation for viewing the acceptance response information of the candidate medical institution to be transferred, and the means for displaying the returned acceptance response information. Includes processing means for displaying on. The information terminal for a transfer destination candidate medical institution includes an operation means for performing various operations including a browsing operation of information on a patient wishing to be transferred and an operation for registering acceptance response information, and a display means for performing various displays including display of information on a patient wishing to be transferred. Processing means for displaying the browsing request for the transfer support device according to the browsing operation of the patient wishing to be transferred, displaying the returned patient information requesting transfer to the display means, and requesting the registration of the acceptance response information for the transfer support device according to the registration operation of the acceptance response information. And, including. The transfer support device receives a registration request from an information terminal for a transfer source medical institution and an information terminal for a transfer destination candidate medical institution, as well as a storage means for accumulating information on patients who wish to transfer and acceptance response information for each patient who wishes to transfer. Information on patients wishing to be transferred to another hospital and information on acceptance responses are stored in the storage means, and information on acceptance responses received from the information terminal for the transfer source medical institution is read out from the storage means and returned to the request source for transfer destination candidate medical institutions. It includes a processing means for reading out information on a patient wishing to be transferred to another hospital who has received a viewing request from an information terminal from a storage means and returning it to a requesting source.

The transfer support system is for one or more transfer source medical institution information terminals used in each of one or more transfer source medical institutions, and for a plurality of transfer destination candidate medical institutions used in each of a plurality of transfer destination candidate medical institutions. It includes an information terminal, an information terminal for each transfer source medical institution, an information terminal for a transfer destination candidate medical institution, and a transfer support device connected to each electronic medical record device via a network. The information terminal for the transfer source medical institution is used to register the name, gender, age, symptom, medical department, family doctor, and information on the desired patient to be transferred, including at least the symptom and the desired transfer date among the desired transfer dates. Operation means for viewing the acceptance response information registered on the institutional information terminal, and performing various operations including the registration operation for the acceptance destination determination information including the transfer destination and the transfer date, and the display of the new registration screen for the patient wishing to transfer. And display means that performs various displays including display of acceptance response information, registration request for transfer support device that follows the registration operation of patient information desired to be transferred, acceptance response to the transfer support device that follows the viewing operation of acceptance response information of the candidate medical institution It includes a processing means for displaying a request for viewing information and a returned acceptance response information on a display means, and a processing means for making a registration request for a transfer support device according to a registration operation of acceptance destination determination information. The information terminal for a transfer destination candidate medical institution includes an operation means for performing various operations including a browsing operation of information on a patient wishing to be transferred and an operation for registering acceptance response information, and a display means for performing various displays including display of information on a patient wishing to be transferred. Display of the transfer request patient information with the transfer request and the returned acceptance decision information according to the transfer operation of the patient who wishes to be transferred, and the registration of the acceptance response information for the transfer support device according to the registration operation of the acceptance response information. Includes processing means for making the request. The transfer support device is a storage means for accumulating information on patients wishing to be transferred, information on acceptance responses, and information on determining recipients in association with each patient wishing to be transferred, and an information terminal for a transfer source medical institution and an information terminal for a transfer destination candidate medical institution. The information on the patient who wishes to be transferred to another hospital, the information on the acceptance response, and the information on the recipient decision are stored in the storage means, and the acceptance response information received from the information terminal for the medical institution at the transfer source is read from the storage means. Includes a processing means for receiving a transfer request patient information received from an information terminal for a transfer destination candidate medical institution and returning the information to the requester for reading from the storage means together with the decision information.

The information terminal for the medical institution that is a candidate for transfer destination can perform browsing operations that narrow down the conditions for patients who wish to be transferred, and the processing means of the transfer support device is a means for accumulating information on patients who wish to be transferred when a browsing request with narrowing conditions is received. Reads the information of the patient who wants to be transferred to another hospital and returns it to the requester.

The information terminal for the medical institution that is a candidate for transfer destination can perform browsing operations that narrow down the conditions for patients who wish to be transferred, and the processing means of the transfer support device is a means for accumulating information on patients who wish to be transferred when a browsing request with narrowing conditions is received. Receives information on patients wishing to be transferred to another hospital that meet the conditions from, and returns it to the requester for reading along with the decision information.

According to the transfer support system of the present invention, the transfer source medical institution registers the transfer request patient information in the transfer support device, so that the transfer request patient information is disclosed to a plurality of transfer destination candidate medical institutions, and the acceptance response information is received. Will be available, greatly reducing the time and effort required to find a recipient.

It is a block diagram of the hospital transfer support system which concerns on one Embodiment of this invention. It is a block diagram of the personal computer in FIG. It is explanatory drawing of the information which is stored in the storage means of the transfer support device in FIG. It is a flowchart which shows the operation of the information terminal for the transfer source medical institution in FIG. It is a flowchart which shows the operation of the information terminal for the transfer source medical institution in FIG. It is a flowchart which shows the operation of the information terminal for the transfer source medical institution in FIG. It is a flowchart which shows the operation of the information terminal for the transfer source medical institution in FIG. It is a flowchart which shows the operation of the information terminal for the transfer destination medical institution in FIG. It is a flowchart which shows the operation of the information terminal for the transfer destination medical institution in FIG. It is a flowchart which shows the operation of the transfer support device in FIG. It is a flowchart which shows the operation of the transfer support operation in FIG. It is a flowchart which shows the operation of the transfer support operation in FIG. It is explanatory drawing which shows the screen display example of the information terminal for the medical institution of the transfer source. It is explanatory drawing which shows the screen display example of the information terminal for the medical institution of the transfer source. It is explanatory drawing which shows the screen display example of the information terminal for the medical institution of the transfer source. It is explanatory drawing which shows the screen display example of the information terminal for the medical institution of the transfer source. It is explanatory drawing which shows the screen display example of the information terminal for the medical institution of the transfer source. It is explanatory drawing which shows the screen display example of the information terminal for the medical institution of the transfer source. It is explanatory drawing which shows the screen display example of the information terminal for the transfer destination medical institution. It is explanatory drawing which shows the screen display example of the information terminal for the transfer destination medical institution. It is explanatory drawing which shows the screen display example of the information terminal for the transfer destination medical institution.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings.

FIG. 1 is a configuration diagram of a hospital transfer support system according to an embodiment of the present invention.

In FIG. 1, X1, X2, X3, ... Indicates different transfer source medical institutions, and each transfer source medical institution X1, X2, X3, ... Indicates a personal computer as an example of an information terminal for the transfer source medical institution. A1, A2, A3, ..., and electronic medical record devices EK1, EK2, EK3, ..., which are built with a computer system that has a function of accumulating patient information and transmitting patient information in response to an external read request. It is equipped. Y1, Y2, Y3, ... Indicates different transfer destination candidate medical institutions, and each transfer destination candidate medical institution Y1, Y2, Y3, ... Indicates a personal computer B1 as an example of an information terminal for a transfer destination candidate medical institution. , B2, B3, ... Are provided. These personal computers A1, A2, A3, ..., Electronic medical record devices EK1, EK2, EK3, ..., B1, B2, B3, ... Are connected to the hospital transfer support device Z via the Internet network 10.

As shown in FIGS. 2 (1) and 2 (2), the personal computers Ai and Bi (i = 1, 2, 3, ...) Have storage means 1a and 1b for storing the program, and display means 2a for displaying various information. 2b, including a keyboard, a mouse, etc., are stored in operating means 3a, 3b for performing various registration operations, browsing operations, etc., communication means 4a, 4b for transmitting and receiving various information with an external hospital transfer support device Z, etc., and storage means 1. It includes processing means 5a and 5b that perform various registration processes and browsing processes according to the operation of the operator based on the program.

The electronic medical record devices EK1, EK2, EK3, ... Are input from the outside via a storage means (not shown) that stores the program and patient information for each patient, a communication means that communicates with the outside (not shown), and a communication means. It has a processing means for reading patient information from a storage means and transmitting it to the outside via a communication means according to the read request. Patient information includes in-facility patient ID, surname (kana) and first name (kana), date of birth, gender, symptoms, clinical department, family doctor as an example of patient identification information that can be used only within the original medical institution Xi. The name, family medical institution name, etc. are included.

The transfer support device Z is constructed by a computer system such as a personal computer and a server, and is divided for each transfer source medical institution, and for each transfer request patient, transfer request patient information (patient shared ID commonly used by all medical institutions). , In-facility patient ID, surname (kana) and first name (kana), date of birth, gender, symptoms, medical department, family doctor name, family medical institution name, desired transfer date), acceptance of answers from candidate medical institutions The storage means 20 that stores the acceptance response information indicating whether or not it is possible, the acceptance decision information indicating the contents of the transfer destination and the transfer date determined by the transfer destination medical institution in coordination with the transfer destination candidate medical institution, etc.) and the external From the personal computers A1, A2, ..., B1, B2, ... provided in the transfer destination medical institutions X1, X2, ..., the transfer destination candidate medical institutions Y1, Y2, ..., via the Internet network 10 and the communication means 21. The patient transfer request management information, acceptance response information, and acceptance decision information received are stored in the storage means 20, or individual transfer request patient information (or individual transfer request patient information and acceptance response information, transfer decision) are stored from the storage means 20. Information that combines information) is read out and transmitted via the communication means 21, or information on a plurality of patients wishing to be transferred (or information that combines information on a plurality of patients wishing to be transferred, acceptance response information, and transfer decision information) is made into a read list. A processing means 22 for transmitting via the communication means 21 is provided. Here, the patient who wishes to be transferred refers to a patient who is positioned as a target to be transferred to another medical institution in a certain medical institution.

The storage means 20 is composed of a large-capacity storage device such as a hard disk device or an SSD device, and FIG. 3 shows the information contents stored in the storage means 20. In FIG. 3, the transfer-desired patient information (patient shared ID, in-facility patient ID, sex (kana) and name (kana) for each individual transfer-desired patient are divided into each of the transfer-source medical institutions X1, X2, X3, and so on. ), Date of birth, gender, symptoms, medical department, family doctor name, family medical institution name, desired transfer date, transfer destination candidate medical institution Y1, Y2, Y3 for patients wishing to transfer (acceptance) Acceptance / rejection, acceptance date if acceptable, type of bed to be accepted, contact information), acceptance decision information (transfer date, acceptance destination) determined by the transfer source medical institution in coordination with the transfer destination candidate medical institution An example is shown in which the medical institution name)) is stored in association with each other.

Next, the operation of the above-described embodiment will be described with reference to FIGS. 4 to 21. 4 to 7 are flowcharts showing the operation of the processing means 5a of the personal computers A1, A2, A3, ... Provided in the transfer source medical institutions X1, X2, X3, ..., FIGS. 8 and 9 are transfer destination candidates. A flowchart showing the operation of the processing means 5b of the personal computers B1, B2, B2, ... Provided in the medical institutions Y1, Y2, Y3, ..., FIGS. 10 to 12 show the operation of the processing means 22 of the transfer support device Z. 13 to 18 are screen explanatory views displayed on the display means 2a of the personal computers A1, A2, A3, ... Provided in the transfer source medical institution X1, X2, X3, ..., FIGS. 19 to 18 of the flowcharts shown. 21 is an explanatory screen diagram displayed on the display means 2b of the personal computers B1, B2, B3, ... Provided in the transfer destination candidate medical institutions Y1, Y2, Y3, ....

(1) Registration of information on patients wishing to be transferred For example, information on new patients wishing to be transferred to a new hospital with staff C of the former medical institution X1 is disclosed to multiple candidate medical institutions Y1, Y2, Y3, and so on. If you want to search for, log in to the external transfer support device Z using the personal computer A1. The processing means 22 of the transfer support device Z returns the initial screen for the transfer source medical institution as shown in FIG. 13 via the communication means 21 and displays it on the display means 2 (step S10 in FIG. 4, S110 to FIG. 10). S112, S11 in FIG. 4). The in-facility patient ID (here, 0088 is used as an example) that Staff C uses only in the transfer source medical institution for the patient who wishes to be transferred is input to the input window 30 using the operation means 4a, and the new registration button 31 is pressed. When the new registration is selected by pressing the button, the processing means 5a of the personal computer A1 transmits a new registration screen request including the transfer source medical institution code and the in-facility patient ID to the transfer support device Z via the Internet network 10 (S15).

The new registration screen request is received by the communication means 21 and input to the processing means 22. The processing means 22 receives a new registration screen request, generates a unique patient shared ID (here, 1000000) used in common by each medical institution for a new patient wishing to be transferred, and requests the requesting medical institution X1 via the communication means 21. Requests to read various patient information corresponding to the in-facility patient ID to the electronic medical record device EK1 of the above, creates a new registration screen in which the returned patient information is already input together with the patient sharing ID, and the transfer source medical institution X1 Reply to personal computer A1. The processing means 5a of the personal computer A1 causes the display means 2a to display the new registration screen input via the communication means 3a (see S113 to S115, S16, and 14 in FIG. 10).

Staff C looks at the new registration screen that has already been entered, and if there is insufficient patient information corresponding to the in-facility patient ID "0088", the staff C inputs it using the keyboard and mouse. Further, when the desired transfer date is input to the input windows 49 and 50 and the registration button 51 is pressed, the processing means 5a of the personal computer A1 sends a new registration request including the transfer source medical institution code (= X1) and the transfer desired patient information to the Internet. It is transmitted to the hospital transfer support device Z via the network 10 and the screen is returned to FIG. 12 (S17 to S20 in FIG. 4).

Based on the new registration request, the processing means 22 of the transfer support device Z additionally stores the received transfer desired patient information in the storage unit of the transfer source medical institution X1 of the storage means 20 (S116, S117, FIG. 10). (See FIG. 3).

When another new patient wishing to be transferred occurs at the transfer source medical institution X1, it can be additionally registered in the transfer support device Z in the same manner.

If staff C wants to change the registered contents such as the desired transfer date among the registered patient information for transfer, enter the in-facility patient ID in the input window 30 on the screen of FIG. 13 and display the registration items. / Press the update button 32 and select display / update of registered items. The processing means 5a of the personal computer A1 transmits a registration item display / update screen request including the transfer source medical institution code and the in-facility patient ID to the transfer support device Z (S30, S31 in FIG. 5). The processing means 22 that receives the request via the communication means 21 reads out the corresponding patient information requesting transfer from the storage means 20 and returns it, and displays it on the personal computer A1 (S118, S119 in FIG. 10, S32 in FIG. 5, (See FIG. 15). When the staff C re-enters the item to be corrected and presses the update registration button 52, the processing means 5a of the personal computer A1 sends an update request including the transfer source medical institution code (= X1) and all the corrected patient information for the transfer request. , The patient is transmitted to the hospital transfer support device Z via the Internet network 10, and the screen is returned to FIG. 13 (S33 to S36 in FIG. 5).

Based on the update request, the processing means 22 that receives the request via the communication means 21 rewrites the transfer-desired patient information related to the same transfer source medical institution, patient sharing ID, and in-facility patient ID stored in the storage means 20. (S120, S121 in FIG. 10).

Further, when it is desired to delete the information on the patient who wishes to be transferred to another hospital already registered in the transfer support device Z, the staff C inputs the in-facility patient ID in the input window 30 on the screen of FIG. 13 and presses the delete button 33 to display the registered items. Select Delete. The processing means 5a of the personal computer A1 transmits a deletion request including the transfer source medical institution code (= X1) and the in-facility patient ID to the transfer support device Z (S37, S38 in FIG. 5). The processing means 22 that receives the request via the communication means 21 deletes the transfer-desired patient information that corresponds to the same transfer source medical institution and in-facility patient ID stored in the storage means 20 (S122, S123 in FIG. 10). ).

The staff of other medical institutions X2, X3, ... Can also newly register, update, or delete information on patients wishing to be transferred using the personal computers A2, A3, ....

(2) Browsing information on patients wishing to be transferred For example, when staff D of the candidate medical institution Y1 wants to browse the information on patients wishing to be transferred to the former medical institutions X1, X2, X3, etc. using the personal computer B1, the personal computer B1 To log in to the external transfer support device Z. The processing means 22 of the transfer support device Z returns the initial screen for the transfer destination candidate medical institution as shown in FIG. The processing means 5b of the personal computer B1 causes the display means 2b to display the initial screen input via the communication means 4b (S80 in FIG. 8, S110 and S111 in FIG. 10, S140 in FIG. 12, and S81 in FIG. 8). When Staff D wants to browse only one or more desired transfer source medical institutions, he / she checks the desired one or more from the check boxes 61, 62, .... If you want to browse all the transfer source medical institutions, check the check box 60 for selecting all transfer source medical institutions. If you want to limit the age, enter the upper limit date of birth in the input window 70 and the lower limit date of birth in the input window 71. Check the check box 72 or 73 if you want to browse only men or women, and check the check box 74 if you want to browse both men and women. If you want to limit the symptoms, enter the symptoms such as fracture and asthma in the input window 75. If you want to browse only the desired one or more clinical departments, check the desired one or more from the check boxes 81, 82 ... If you want to browse all the departments, check the check box 80 to select all the departments. If you want to limit the family doctor, enter it in the input window 90, and if you want to limit the family medical institution, enter it in the input window 91. If you want to limit the desired transfer date, enter the lower limit date in the input window 92 and the upper limit date in the input window 93.

After inputting the search conditions in this way, when the browsing button 100 is pressed, the processing means 5b of the personal computer B1 transfers the browsing request of the transfer desired patient information including the code of the transfer destination candidate medical institution and the search condition information by the communication means 4b. It is transmitted to the support device Z (S82 to S85 in FIG. 8). The processing means 22 that receives the request via the communication means 21 extracts the transfer-desired patient that matches the search condition from the storage means 20, and indicates that the transfer-desired patient information, the acceptance decision information, and the acceptance decision information have been accepted. List of information on patients who wish to be transferred, which is a list of information on desired / unacceptable patients, desired date of acceptance, and information on reasons for unacceptable patients, among the accepted response information of the requester's candidate medical institution Y1. Is created, returned to the requester, and displayed on the screen (see S141 and S142 in FIG. 12, S86 in FIG. 8 and FIG. 20). FIG. 20 shows an example in which only the check box 60 and the check box 80 are checked and the browse button 100 is pressed.

From the screen display, Staff D can grasp at a glance what kind of patients wish to be transferred that match the search conditions, and whether or not the host has been decided, and the medical institution Y1 to which Staff D belongs It is also possible to grasp whether or not the patient has accepted and answered, and the content of the case.

If you want to view only one specific patient whose ID or name is known, enter the patient shared ID in the input window 94 on the screen of FIG. 19, or enter the surname and first name in the input windows 95 and 96. , The browse button 100 may be pressed.

(3) Input of acceptance answer information If Staff D wants to give an acceptable or unacceptable answer for Yokohama Hanako on the 4th line from the top in the screen of FIG. 20, click the 4th line to select it. (The fourth line is highlighted or highlighted), press the answer input button 101. The processing means 5b of the personal computer B1 transmits an answer input screen request including the patient shared ID of the selected patient wishing to be transferred to the transfer support device Z (S87, S88). The processing means 22 that receives the request via the communication means 21 reads the transfer desired patient information regarding the transfer desired patient corresponding to the patient shared ID from the storage means 20, creates an answer input screen, replies to the request source, and screens. It is displayed (see S143 and S144 in FIG. 12, S89 in FIG. 8 and FIG. 21).

Staff D confirms the name, date of birth, gender, symptoms, clinical department, family doctor, desired date of transfer, etc. from the screen, and if he / she wishes to be accepted, he / she checks the acceptable check box 110 and selects the bed to be accepted. The type (general, medical treatment type, etc.) is selected from the pull-down menu 111 and input, and the acceptable date is input in the input windows 112 and 113. Then, enter the name and telephone number in the contact input windows 114 and 115, and press the answer transmission button 120. If it is unacceptable, check the unacceptable check box 116, select the reason for unacceptability (for example, full bed, doctor's leave, etc.) from the pull-down menu 117, enter it, and press the answer transmission button 120. .. The processing means 5b of the personal computer B1 transmits the input answer to the hospital transfer support device Z, and returns the screen to FIG. 20 (S100 to S103 in FIG. 9).

The processing means 22 that receives the reply via the communication means 21 writes and registers the reply in the storage means 20 as the reply of the transfer destination candidate medical institution Y1 in association with the patient shared ID (S145, S146 in FIG. 12). Acceptance response information can be registered for other patients wishing to be transferred in the same way. In exactly the same way for other candidate medical institutions to be transferred, it is possible to browse information on patients wishing to be transferred to a desired transfer source medical institution and a desired clinical department, and to register acceptance response information.

(4) Browsing of acceptance response information For example, if the staff C of the transfer source medical institution X1 wants to browse the acceptance response information of the transfer destination candidate medical institutions Y1, Y2, Y3, ... using the personal computer A1, the personal computer A1 is used. Log in to the external transfer support device Z. The processing means 22 of the transfer support device Z returns the initial screen as shown in FIG. 13 and displays it on the personal computer A1. When the staff C wants to browse the list of accepted response information of all patients wishing to be transferred, the check box 34 is checked and the browse button 35 is pressed, and the processing means 5a of the personal computer A1 requests the list of accepted response information to the transfer support device Z. (S60, S61 in FIG. 7). The processing means 22 that receives the request via the communication means 21 collects the transfer-desired patient information, the acceptance response information, and the acceptance decision information regarding all the transfer-desired patients accumulated for the requesting transfer source medical institution X1 from the storage means 20. The combined acceptance response list information is created, returned to the requester, and displayed on the screen (see S124 and S125 in FIG. 10, S62 in FIG. 7, and FIG. 16).

From the display on the screen, Staff C can grasp at a glance which transfer destination candidate medical institutions Y1, Y2, Y3, ... Can accept or cannot accept the transfer desired patient.

(5) Adjustment of transfer and input of acceptance decision information For example, if you wish to accept Yokohama Hanako on the 4th line from the top to the candidate medical institution Y1 for transfer, the corresponding square (4th line from the top, 4 from the left) Click inside (the squares in the column) to select (the corresponding squares are highlighted or highlighted), and press the transfer setting button 120. The processing means 5a of the personal computer A1 causes the transfer support device Z to transmit the acceptance decision information input screen request including the patient shared ID of the selected patient wishing to be transferred (S63 to S64 in FIG. 7). The processing means 22 that receives the request via the communication means 21 reads out the transfer desired patient information and the acceptance answer information regarding the transfer desired patient corresponding to the patient sharing ID from the storage means 20, creates an acceptance decision information input screen, and requests. It replies to the original and displays it on the screen (see S126 and S127 in FIG. 10, S65 in FIG. 7, and FIG. 17).

Staff C confirms the transfer date, the type of bed to be accepted, etc. from the screen, and if he / she wishes to decide as the recipient, he / she adjusts the acceptance by telephone or the like with the staff of the other party displayed as the contact information. When the acceptance adjustment is established, the staff C inputs the transfer date in the transfer date input window 130, selects and inputs the transfer destination medical institution from the pull-down menu 131, and presses the registration button 132. The processing means 5a of the personal computer A1 transmits the patient sharing ID and the input acceptance decision information to the hospital transfer support device Z, and returns the screen to FIG. 16 (S66 to S69 in FIG. 7). The processing means 22 that has input the acceptance decision information via the communication means 21 registers the acceptance decision information with the patient sharing ID in the storage means 20 (S128 and S129 in FIG. 10).

Acceptance decision information can be registered for other patients wishing to be transferred in the same way.

In exactly the same way, other transfer-source medical institutions can browse the list of acceptance response information, adjust acceptance for desired patients who wish to transfer, and register acceptance decision information. If the acceptance adjustment is not established, pressing the return button 133 on the screen of FIG. 17 returns the processing means 5a of the personal computer A1 to the original list screen of FIG. 16 (S70 of FIG. 7). Coordination with the candidate medical institution for transfer may be made.

(6) Browsing acceptance response information of individual patients wishing to transfer, inputting acceptance decision information For example, staff C of the transfer source medical institution X1 browses acceptance response information for a specific patient wishing to transfer using personal computer A1. If you want to do so, check the check box 36 on the screen of FIG. 13 after logging in, enter the patient ID of the desired patient in the facility in the input window 37, and press the browse button 38, and the processing means 5a of the personal computer A1 will be in the facility. A request for viewing individual acceptance response information of a patient wishing to be transferred including a patient ID is transmitted to the transfer support device Z (S40 to S43 in FIG. 6). The processing means 22 that receives the request via the communication means 21 combines the transfer desired patient information, the acceptance response information, and the acceptance decision information accumulated for the transfer desired patient of the institutional patient ID from the storage means 20 to view the acceptance response information. A screen is created and displayed by replying to the requester (see S130 and S131 in FIG. 11, S44 in FIG. 6, and FIG. 18).

From the display on the screen, Staff C can grasp at a glance which transfer destination candidate medical institution is acceptable or unacceptable for the desired transfer-desired patient.

For example, if you wish to be accepted by the first candidate medical institution Y1 for transfer, click inside the corresponding square to select it (the corresponding square is highlighted or highlighted), and the transfer setting button 140 When is pressed, the processing means 5a of the personal computer A displays the acceptance decision information input screen of FIG. 17 (S63, S64 of FIG. 7, S132, S133 of FIG. 11, S65 of FIG. 7), and therefore accepts in the same manner as described above. After the adjustment, the acceptance decision information may be input and registered (S66 to S69 in FIG. 7, S134 and S135 in FIG. 11).

The acceptance decision information registered by the transfer source medical institution is displayed when the transfer destination candidate medical institution browses the information on the patient who wishes to be transferred, so it is possible to grasp at a glance whether or not the acceptance decision has been made, and a useless answer. You don't have to type.

According to this embodiment, when the staff of a certain transfer source medical institution Xi wants to adjust the transfer of a patient who wishes to transfer between a plurality of external candidate medical institutions Y1, Y2, Y3, ..., PC Ai By registering the desired transfer patient information and the desired transfer date in the transfer support device Z, the staff of multiple transfer destination candidate medical institutions Y1, Y2, Y3, ... will use the personal computers B1, B2, B3, ... Information on patients wishing to be transferred and the desired date of transfer can be obtained from the transfer support device Z and can be viewed. Therefore, the existence of patients wishing to be transferred can be individually notified to each candidate medical institution Y1, Y2, Y3, and so on. You can save the trouble of contacting.

In addition, when the staff of the transfer source medical institution Xi registers new transfer desired patient information, when the in-facility patient ID is input by the personal computer Ai and a request for a new registration screen is made, the transfer source medical institution Xi uses the transfer support device Z. Obtains patient information such as name, date of birth, gender, symptoms, medical department, family doctor, family medical institution, etc. stored in association with the in-facility patient ID from the electronic medical record device EKi, and automatically obtains this information. Since the new registration screen that has already been entered is returned, the time and effort of the new registration operation by the staff is reduced.

In addition, if the staff of the transfer destination candidate medical institutions Y1, Y2, Y3, etc. who viewed the transfer request patient information and the transfer destination desired date want to give an acceptance answer indicating acceptance / rejection, use the personal computers B1, B2, B3, ... If the acceptance response information is registered in the transfer support device Z, the staff of the transfer source medical institution Xi can obtain the acceptance response information using the personal computer Ai and view it, so that each transfer destination candidate medical institution Y1, Y2, It is possible to save the trouble of individually inquiring Y3, ..., whether or not to accept it by telephone or the like.

In addition, since the acceptance response information includes the contact information of the transfer destination candidate medical institution, it is possible to quickly hold a transfer adjustment meeting with the staff of the transfer destination candidate medical institution that can be accepted.

In addition, after the transfer adjustment, when the staff of the transfer source medical institution Xi registers the transfer destination determination information including the transfer destination and the transfer date in the transfer support device Z in association with the transfer desired patient information, the transfer destination candidate medical institution When Y1, Y2, Y3, ... Browse the information on patients who wish to be transferred to another hospital, the information on patients who wish to be transferred to another hospital is displayed, so that the patients whose recipients have not been decided can be easily grasped.

In addition, each transfer destination candidate medical institution Y1, Y2, Y3 ..., when browsing the information of the patient who wishes to be transferred, the transfer source medical institution, age, gender, symptom, clinical department, family doctor, family medical institution, transfer request It is possible to narrow down the conditions by arbitrarily combining the days, etc., and it is possible to efficiently browse the necessary information on patients wishing to be transferred. It is also possible to browse only the information of one patient who wishes to be transferred to another hospital specified by the patient shared ID or the name.

In the above embodiment, when a request for a new registration screen in which the in-facility patient ID is input is made by the personal computer Ai, the transfer support device Z associates the in-facility patient ID with the electronic medical record device EKi of the transfer source medical institution Xi. I got the patient information such as the memorized name, date of birth, gender, symptom, clinical department, family doctor, family medical institution, etc., and automatically returned the new registration screen with this information already entered. , The transfer support device Z simply returns the new registration screen with only the patient shared ID already entered, accesses the electronic medical record device Z on the side of the personal computer Ai to obtain the patient information, and automatically enters the patient information on the new registration screen. Alternatively, the staff may manually enter it.

In addition to the in-facility patient ID, the in-facility patient identification information may be other types of information such as a name that identifies an individual.

The present invention is applicable when it is desired to efficiently execute a transfer operation between one or more transfer source medical institutions and a plurality of transfer destination candidate medical institutions.

10 Internet network 20 Storage means 22 Processing means X1, X2, X3, ... Transferred medical institution A1, A2, A3, ..., B1, B2, B3, ... Personal computer EK1, EK2, EK3, ... Electronic medical record device Y1, Y2, Y3, ... Candidate medical institution for transfer Z Transfer support device

Claims (6)

Information terminal for one or more transfer source medical institutions used in each of one or more transfer source medical institutions, information terminal for multiple transfer destination candidate medical institutions used in each of a plurality of transfer destination candidate medical institutions, one or more One or more electronic medical record devices used in each of a plurality of transfer source medical institutions, information terminals for each transfer source medical institution, information terminals for transfer destination candidate medical institutions, and each electronic medical record device connected via a network. Including transfer support device
Each electronic medical record device provides patient information including at least one of name, date of birth, gender, symptom, clinical department, family doctor, and family medical institution associated with in-facility patient identification information for each of a plurality of patients. It is configured so that it can be stored and patient information can be read and transmitted from the storage means in response to a read request from the outside.
The information terminal for the former medical institution is
An operation means for performing various operations including a new registration screen request operation of a patient who wishes to be transferred, including input of patient identification information in the facility of the patient who wishes to be transferred, and an operation of viewing acceptance response information registered on an information terminal for a candidate medical institution to be transferred ,
Display means for displaying new registration screens for patients wishing to be transferred, and displaying various displays including acceptance response information,
New registration screen request including input of patient identification information in the facility of the patient who wants to be transferred New registration screen request for the transfer support device according to the operation, name, gender, age, symptom, clinical department, family doctor, and at least the symptom of the desired transfer date Request for registration of transfer support device according to the registration operation of patient information requesting transfer including the desired date of transfer, and acceptance request for transfer support device according to the operation of viewing response information of candidate medical institutions to be transferred, and acceptance of reply information Processing means for displaying answer information on the display means and
Including
Information terminals for medical institutions that are candidates for transfer
Operation means for performing various operations including browsing operation of patient information desired to be transferred and registration operation of acceptance response information,
Display means for various displays including display of patient information desired to be transferred,
Processing means for displaying the browsing request for the transfer support device according to the browsing operation of the patient wishing to be transferred, displaying the returned patient information requesting transfer to the display means, and requesting the registration of the acceptance response information for the transfer support device according to the registration operation of the acceptance response information. When,
Including
The transfer support device is
Accumulation means for accumulating information on patients wishing to be transferred and acceptance response information for each patient wishing to be transferred,
When a new registration screen request including in-facility patient identification information is received from the information terminal for the transfer source medical institution, the corresponding patient information is obtained from the electronic chart device attached to the same transfer source medical institution, and the obtained patient information is already entered. The new registration screen is returned, and the information on the patients who wish to be transferred from the transfer source medical institution terminal is stored in the storage means, and the acceptance response information received from the transfer source medical institution information terminal is accumulated. Reply to the read request source from the means, reply to the read request source from the storage means, and send the registration request from the transfer destination candidate medical institution information terminal after receiving the read request from the transfer destination candidate medical institution information terminal. A processing means for storing received acceptance response information in a storage means,
Including,
A transfer support system featuring. Information terminal for one or more transfer source medical institutions used in each of one or more transfer source medical institutions, information terminal for multiple transfer destination candidate medical institutions used in each of a plurality of transfer destination candidate medical institutions, one or more One or more electronic medical record devices used in each of a plurality of transfer source medical institutions, information terminals for each transfer source medical institution, information terminals for transfer destination candidate medical institutions, and each electronic medical record device connected via a network. Including transfer support device
Each electronic medical record device provides patient information including at least one of name, date of birth, gender, symptom, clinical department, family doctor, and family medical institution associated with in-facility patient identification information for each of a plurality of patients. It is configured so that it can be stored and patient information can be read and transmitted from the storage means in response to a read request from the outside.
The information terminal for the former medical institution is
In-facility patient identification information input for patients wishing to be transferred, new registration screen request operation for patients wishing to be transferred, viewing operation for acceptance response information registered on the information terminal for candidate medical institutions, and acceptance including transfer destination and transfer date Operation means for performing various operations including registration operation of prior determination information,
Display means for displaying new registration screens for patients wishing to be transferred, and displaying various displays including acceptance response information,
New registration screen request including input of patient identification information in the facility of the patient who wants to be transferred New registration screen request for the transfer support device according to the operation, name, gender, age, symptom, clinical department, family doctor, and at least the symptom of the desired transfer date Registration request for the transfer support device according to the registration operation of the patient information requesting transfer including the desired transfer date, acceptance response request for the transfer support device according to the acceptance response information browsing operation of the candidate medical institution to be transferred, and the reply acceptance response A processing means for displaying information on the display means and requesting registration for the transfer support device according to the registration operation of the acceptance destination determination information.
Including
Information terminals for medical institutions that are candidates for transfer
Operation means for performing various operations including browsing operation of patient information desired to be transferred and registration operation of acceptance response information,
Display means for various displays including display of patient information desired to be transferred,
Display of the information on the patient who wants to be transferred with the request for browsing the transfer support device and the returned acceptance decision information according to the browsing operation of the patient who wants to be transferred, and the registration of the acceptance response information for the transfer support device according to the registration operation of the acceptance response information. The processing means for making the request and
Including
The transfer support device is
Accumulation means for accumulating information on patients wishing to be transferred, information on acceptance responses, and information on determining recipients for each patient wishing to be transferred,
When a new registration screen request including in-facility patient identification information is received from the information terminal for the transfer source medical institution, the corresponding patient information is obtained from the electronic chart device attached to the same transfer source medical institution, and the obtained patient information is already entered. The new registration screen was returned, and the information on the patient wishing to be transferred and the information on determining the recipient of the patient who received the registration request from the terminal for the transfer source medical institution were stored in the storage means, and the browsing request was received from the information terminal for the transfer source medical institution. The acceptance response information is read back from the storage means to the requester, and the information of the patient who wishes to be transferred is received from the information terminal for the medical institution, and the information is returned to the requester from the storage means together with the decision information. A processing means for accumulating acceptance response information received from a medical institution information terminal in a storage means,
Including,
A transfer support system featuring. Information terminal for one or more transfer source medical institutions used in each of one or more transfer source medical institutions, multiple transfer destination candidate medical institution information terminals used in each of a plurality of transfer destination candidate medical institutions, each transfer destination Including information terminals for former medical institutions, information terminals for candidate medical institutions for transfer destinations, and transfer support devices connected to each electronic medical record device via a network.
The information terminal for the former medical institution is
Registration operation of information on patients wishing to be transferred, including name, gender, age, symptoms, clinical department, family doctor, and at least the desired date of transfer and symptoms, and information terminal for candidate medical institutions to be transferred. Operation means for performing various operations including viewing of accepted response information,
Display means for displaying new registration screens for patients wishing to be transferred, and displaying various displays including acceptance response information,
To the registration request for the transfer support device according to the registration operation of the patient information desired to be transferred, and the display means of the acceptance response information viewing request and the returned acceptance response information for the transfer support device according to the acceptance operation of the transfer destination candidate medical institution. And the processing means to display
Including
Information terminals for medical institutions that are candidates for transfer
Operation means for performing various operations including browsing operation of patient information desired to be transferred and registration operation of acceptance response information,
Display means for various displays including display of patient information desired to be transferred,
Processing means for displaying the browsing request for the transfer support device according to the browsing operation of the patient wishing to be transferred, displaying the returned patient information requesting transfer to the display means, and requesting the registration of the acceptance response information for the transfer support device according to the registration operation of the acceptance response information. When,
Including
The transfer support device is
Accumulation means for accumulating information on patients wishing to be transferred and acceptance response information for each patient wishing to be transferred,
The information terminal for the transfer source medical institution and the information terminal for the transfer destination candidate medical institution have received the registration request information and the acceptance response information are stored in the storage means, and the browsing request is received from the transfer source medical institution information terminal. A processing means for returning the received response information from the storage means to the reading request source, and a processing means for returning the information of the patient wishing to be transferred to the hospital who received the viewing request from the information terminal for the candidate medical institution to be transferred from the storage means to the reading request source.
Including,
A transfer support system featuring. Information terminal for one or more transfer source medical institutions used in each of one or more transfer source medical institutions, multiple transfer destination candidate medical institution information terminals used in each of a plurality of transfer destination candidate medical institutions, each transfer destination Including information terminals for former medical institutions, information terminals for candidate medical institutions for transfer destinations, and transfer support devices connected to each electronic medical record device via a network.
The information terminal for the former medical institution is
Registration operation of information on patients wishing to be transferred, including name, gender, age, symptoms, clinical department, family doctor, and at least the desired date of transfer and the desired date of transfer, acceptance registered at the information terminal for candidate medical institutions Operation means for performing various operations including browsing operation of answer information and registration operation of acceptance destination determination information including transfer destination and transfer date,
Display means for displaying new registration screens for patients wishing to be transferred, and displaying various displays including acceptance response information,
Request for registration of the transfer support device according to the registration operation of the patient information desired to be transferred, request for viewing the acceptance response information for the transfer support device according to the operation for viewing the acceptance response information of the candidate medical institution to be transferred, and the means for displaying the returned acceptance response information. A processing means for making a registration request to the transfer support device according to the display and the registration operation of the acceptance destination determination information,
Including
Information terminals for medical institutions that are candidates for transfer
Operation means for performing various operations including browsing operation of patient information desired to be transferred and registration operation of acceptance response information,
Display means for various displays including display of patient information desired to be transferred,
Display of the information on the patient who wants to be transferred with the request for browsing the transfer support device and the returned acceptance decision information according to the browsing operation of the patient who wants to be transferred, and the registration of the acceptance response information for the transfer support device according to the registration operation of the acceptance response information. The processing means for making the request and
Including
The transfer support device is
Accumulation means for accumulating information on patients wishing to be transferred, information on acceptance responses, and information on determining recipients for each patient wishing to be transferred,
Information terminal for transfer source medical institution and transfer destination candidate Information terminal for transfer destination medical institution by accumulating information on patients wishing to transfer, acceptance response information, and acceptance destination determination information received from the information terminal for transfer destination medical institution in the storage means. The acceptance response information received from the storage means is read back from the storage means, and the information of the patient who wishes to be transferred is received from the information terminal for the candidate medical institution to be transferred to the transfer destination. The processing means to reply and
Including,
A transfer support system featuring. Information terminals for medical institutions that are candidates for transfer
Browsing operation that narrows down the conditions of patients wishing to transfer is possible,
The processing means of the transfer support device is
When a browsing request with a narrowing condition is received, the information of the patient who wants to be transferred is read out from the storage means and the information of the patient who wants to be transferred is read back to the requester.
The transfer support system according to claim 1 or 3, characterized in that. Information terminals for medical institutions that are candidates for transfer
Browsing operation that narrows down the conditions of patients wishing to transfer is possible,
The processing means of the transfer support device is
When a browsing request with a narrowing condition is received, the information of the patient who wants to be transferred is read from the storage means, and the information of the patient who wants to be transferred is read together with the decision information and returned to the requester.
The hospital transfer support system according to claim 2 or 4.